Psillakis J M, Grotting J C, Casanova R, Cavalcante D, Vasconez L O
Plast Reconstr Surg. 1986 Sep;78(3):309-17. doi: 10.1097/00006534-198609000-00005.
Based on an anatomic study of the vascularization of the calvarium in cadavers, a technique for the transfer of vascularized outer-table calvarial bone has been developed. The outer table of the calvarium receives numerous small perforators from its overlying periosteum. The periosteum is continuous with a distinct fascial layer overlying the temporal aponeurosis which we have termed the innominate fascia. Because of a network of anastomosing vessels from proximal branches of the superficial temporal artery and perforating branches of the deep temporal artery, the outer table of the calvarium can be carried on a pedicle which contains the temporal aponeurosis, innominate fascia, and periosteum. Thirty-seven vascularized outer-table calvarial bone flaps have been performed for a variety of craniofacial reconstructive deformities. Remarkable stability and lack of resorption have led the authors to favor this method of reconstruction particularly in poorly vascularized or previously infected recipient beds.
基于对尸体颅骨血管化的解剖学研究，已开发出一种带血管蒂外板颅骨转移技术。颅骨外板从其上方的骨膜接收众多小穿支血管。骨膜与覆盖颞腱膜的一层独特筋膜层连续，我们将其称为无名筋膜。由于颞浅动脉近端分支和颞深动脉穿支之间存在吻合血管网络，颅骨外板可通过包含颞腱膜、无名筋膜和骨膜的蒂进行转移。已为各种颅面重建畸形实施了37例带血管蒂外板颅骨瓣手术。显著的稳定性和无吸收现象使作者尤其青睐这种重建方法，特别是在血运较差或先前已感染的受区。
